A Man with Labile Blood Pressure
Author Information
Author(s): Ronald C. W. Ma, Yiu Kwok Hing, Wong Edward H. C., Liu Kin Hung, Chan Joseph Y. S., Chow Chun Chung, Cockram Clive S.
Primary Institution: Chinese University of Hong Kong
Hypothesis
Is baroreflex failure the cause of labile hypertension in a patient with a history of neck irradiation?
Conclusion
The patient's labile hypertension was likely due to baroreflex failure resulting from extensive neck irradiation.
Supporting Evidence
- The patient had a history of neck irradiation which likely caused baroreflex failure.
- Frequent fluctuations in blood pressure were observed during the patient's hospital stay.
- Clonidine treatment improved the patient's symptoms and blood pressure control.
Takeaway
A man had very unstable blood pressure, and doctors found out it was because of damage from radiation treatment he had years ago.
Methodology
The case involved clinical assessment, blood pressure monitoring, and diagnostic tests including ECG and ultrasound.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 53-year-old man with a history of nasopharyngeal carcinoma.
Digital Object Identifier (DOI)
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